So wote nka nso sɛ woabrɛ bere a woabrɛ no? So wo koma bɔ brɛoo? Momma yensua Chronotropic Incompetence ho ade!

So ɛtɔ mmere bi a wote nka sɛ woabrɛ dodo sɛ wobɛyɛ ade ketewaa bi mpo, na wo home ayɛ wo yaw? Wuntumi ntu mmirika anaa wunhuruw sɛnea na woyɛ kan no, na sɛ woforo antweri mpo a, wo ho yɛ wo yaw? Ebia wo koma nbɔ ntɛmntɛm bere a woabrɛ no. Ɛnnɛ yɛrebɛka tebea a ɛte saa ho asɛm. Wɔfrɛ eyi (Chronotropic Incompetence) wɔ aduruyɛ ho nyansahu mu. Ɛwom sɛ edin no yɛ den kakra de, nanso momma yɛnte ase kɛkɛ.

Dɛn ne eyi (Chronotropic Incompetence)? Sɛ yɛbɛka no tiawa a...

Sɛ yɛbɛka no tiawa a, Chronotropic Incompetence yɛ tebea a wuntumi mma wo koma bɔ nkɔ soro sɛnea wuhia bere a woreyɛ apɔw-mu-teɛteɛ te sɛ apɔw-mu-teɛteɛ anaa adwuma a emu yɛ den no. Afei hwɛ, sɛ yɛreyɛ apɔw-mu-teɛteɛ anaa yɛnantew a, yɛn nipadua hia oxygen pii sen bere a yɛte hɔ kɛkɛ. Mogya no na ɛde mframa pa yi kɔ nipadua no mu nyinaa. Enti, koma no na ɛbɔ mogya yi.

(Chronotropic Incompetence) Obi a ohia oxygen kɛse yi koma ntumi nni nipadua no hia oxygen a ɛkɔ soro no ho dwuma yiye. Ɛne sɛ, koma no ntumi mmɔ ntɛmntɛm sɛnea ɛho hia na ɛbɔ mogya (mogya a oxygen wom) dodow a nipadua no hia no. Fa no sɛ ɛte sɛ kar engine. Sɛnea yɛma engine no ahoɔhare kɔ soro bere a yɛpɛ sɛ yɛkɔ ntɛmntɛm no, saa ara na ɛsɛ sɛ yɛn koma bɔ ntɛmntɛm nso bere a yɛabrɛ no. Sɛ yɛanyɛ saa a, ɔhaw ahorow sɔre.

Eyi betumi ama wo apɔw-mu-teɛteɛ ho abotare so atew . Eyi kyerɛ sɛ ebia worentumi nyɛ apɔw-mu-teɛteɛ pii te sɛ nnipa afoforo a wɔne wo bɔ tipɛn. Ebia ɛbɛyɛ den ama wo sɛ wobɛnantew akwansin a kan no na wutumi nantew a worehome anaasɛ wommrɛ.

Dɛn ne tebea yi ho sɛnkyerɛnne (Chronotropic Incompetence)?

Nsɛnkyerɛnne atitiriw pii wɔ hɔ a ebia wubenya wɔ tebea yi mu:

• Ɔbrɛ : Ɔbrɛ kɛse a wobɛte nka bere a woayɛ biribi ketewaa bi mpo akyi. Sɛ nhwɛso no, ebia wobɛte ɔbrɛ kɛse nka bere a woayɛ ofie nnwuma bi, wosoa bag, anaa mpo woanantew kwan tiaa bi akyi.
• Ahomegye a ɛyɛ den ( ahome a ɛyɛ tiaa ) bere a woreyɛ apɔw-mu-teɛteɛ: Ɛyɛ den sɛ wobɛhome bere a woreyɛ apɔw-mu-teɛteɛ, wobɛhome . Ebia wobɛte nka sɛ wo home yɛ wo yaw araa ma wuntumi nkura nkɔmmɔ mpo.

Saa sɛnkyerɛnne ahorow yi yɛ soronko wɔ ɔbrɛ a ɛfata ho. Sɛ wote nka sɛ woabrɛ anaa woabrɛ araa ma wuntumi nyɛ wo da biara da nnwuma mpo a, ɛsɛ sɛ wohaw wo ho.

Dɛn ne nneɛma a ɛde Chronotropic Incompetence ba?

Ɛnyɛ ade biako pɛ nti na tebea yi ba, nanso nneɛma pii betumi ama aba. Ma yɛnhwɛ nea wɔyɛ:

• Nnuru ahorow bi:Nnuru bi, titiriw nea wɔde sa mogya mmoroso ne komayare (beta-blockers) betumi ama koma no bɔ brɛoo .
• Sinus node dysfunction: Sinus node no ne baabi a yɛn koma fi ase bɔ. Ɛyɛ adwuma te sɛ koma no abɔde mu afiri a ɛma koma no bɔ denneennen. Sɛ ɔhaw bi wɔ saa ntini yi ho a, wɔrenhwɛ koma no bɔ yiye.
• Nsɛm a ɛfa ntini a ɛkɔ koma no ho: Sɛ koma no bɛbɔ a, ɛsɛ sɛ anyinam ahoɔden nsɛnkyerɛnne tu kwan yiye wɔ koma no mu nyinaa. Sɛ akwan a saa nsɛnkyerɛnne yi fa so no siw anaa ɔhaw bi , koma no bɔ betumi ayɛ nea ɛnkɔ so daa anaasɛ ɛyɛ brɛoo.
• Benkum so ahurututu a ɛnyɛ adwuma yiye: Yɛn koma no wɔ adan atitiriw anan. Benkum so ahurututu no yɛ eyinom mu biako. Ɛma mogya fa nipadua no nyinaa mu. Sɛ benkum so ahurututu no ntumi nyɛ adwuma yiye a, entumi mfa mogya a ɛdɔɔso nkɔ nipadua no mu.
• Koma mu yare a ɛma mogya tu : Eyi nso betumi de tebea yi aba, efisɛ mogya ntini a ɛde koma no ma no siw, na ɛmma koma no ntini no nnya mframa pa ne aduannuru a ehia.
• Koma a entumi nyɛ adwuma yiye: Tebea horow te sɛ nsu a ɛboaboa ano ba bere a koma no ntumi mfa mogya nkɔ nipadua no ahiade ahorow ho dwuma no.
• Koma mu yare a wɔde awo obi: Wɔwo nnipa binom a wɔwɔ komayare bi. Saa tebea horow yi nso betumi aboa ma Chronotropic Incompetence anya nkɔso akyiri yi wɔ asetra mu.

Nneɛma bɛn na ɛma asiane a ɛwɔ tebea yi mu no yɛ kɛse?

Nnipa binom wɔ asiane kɛse mu kakra sɛ wobenya saa tebea yi. Nneɛma bi a ebetumi aboa ma eyi aba ni:

• Wɔ nnipa a wɔwɔ komayare fam no .
• Wɔ nnipa a wɔayɛ kɛse mmoroso fam no .
• (Diabetes Mellitus) Anaasɛ wɔde ma wɔn a wɔwɔ asikreyare.
• Wɔ wɔn a wɔwɔ ahurututu mu nyarewa a enni sabea te sɛ COPD (Chronic obstructive pulmonary disease) fam no .
• Wɔn a wɔwɔ mogya mmoroso no fam no .
• Wɔn a wɔwɔ HIV yareɛ no fam.
• Nnipa a wɔanya Epstein-Barr mmoawa (eyi yɛ mmoawa a ɛtaa de atiridii ne menewa mu yaw ba).
• Wɔn a wɔwɔ (Long COVID) tebea, a ɛkyerɛ wɔn a wɔwɔ sɛnkyerɛnne bere tenten wɔ COVID-19 a wɔanya akyi.

Sɛ wowɔ saa nneɛma a ɛde asiane ba yi a, ɛbɛyɛ papa sɛ wobɛma w’ani ada hɔ kakra.

Ɔkwan bɛn so na nnuruyɛfo hu saa tebea yi (Chronotropic Incompetence)?

Oduruyɛfo bi behu tebea yi sɛ wo koma bɔ ntumi nkɔ baabi pɔtee bi a. Mpɛn pii no, nnuruyɛfo susuw sɛ wowɔ saa tebea yi sɛ wo koma bɔ nkɔ soro nkɔ 70% kosi 85% wɔ wo mfe -predicted maximal heart rate (APMHR) mu bere a woreyɛ apɔw-mu-teɛteɛ kɛse no.

Nnuru a wɔtaa de di dwuma de hwehwɛ koma a ɛbɔ kɛse (APMHR) a ɛfata wo mfe ne: 220 a wɔayi wo mfe afi mu . Nanso, ɛnyɛ eyi nkutoo ne ɔkwan a wɔfa so yɛ no, nnuruyɛfo nso de akwan foforo ne nnuru a wɔde yɛ nnuru di dwuma. Sɛ nhwɛso no, sɛ wo koma bɔ ntumi nkɔ wo koma bɔ a wode asie no mu 80% a, wɔde di dwuma de hu sɛ wowɔ Chronotropic Incompetence .

Ɛda so ara nni gyinapɛn biara a wogye tom wɔ amansan nyinaa mu a wɔde bɛyɛ eyi. Enti, oduruyɛfo no begyina wo tebea so de asɛm bi aba awiei.

Sɔhwɛ ahorow bɛn na wɔyɛ ma eyi?

Sɛ wo duruyɛfo susuw sɛ wowɔ saa tebea yi a, ebia ɔbɛhyɛ sɛ wɔnyɛ nhwehwɛmu pii:

• Continuous heart rhythm monitor: Eyi yɛ afiri ketewaa bi a wubetumi ahyɛ. Ebetumi ahwɛ sɛnea wo koma bɔ sesa da mũ no nyinaa bere a woreyɛ wo dwumadi ahorow a wotaa yɛ no.
• Apɔw-mu-teɛteɛ (EKG – Electrocardiogram) sɔhwɛ: Wɔ sɔhwɛ yi mu no, wɔhwɛ wo koma bɔ (EKG) bere a wonam treadmill so anaasɛ wote sakre a egyina hɔ so no. Wo duruyɛfo bɛhwɛ sɛ wo koma bɔ kɔ soro kodu sɛnea wo duruyɛfo hwɛ kwan no anaa.
• Metabolic exercise stress test (CVST): Eyi nso yɛ sɔhwɛ a wɔyɛ wɔ treadmill anaa sakre so. Nanso, ɛsan susuw mframa pa dodow a wo nipadua de di dwuma bere a woreteɛteɛ w’apɔw mu no. Ɛnyɛ wo koma nko na eyi betumi ama woanya adwene pa, na mmom w’ahurututu nso.

Dɛn ne ayaresa ahorow a wɔde sa Chronotropic Incompetence?

Nnuruyɛfo di akwan horow pii so de sa tebea yi. Wɔn titiriw ne:

• Apɔw-mu-teɛteɛ: Mma ɛnyɛ wo nwonwa! Ɛwom sɛ ebia ɛbɛyɛ den sɛ wobɛteɛteɛ w’apɔw mu de, nanso eyi ho ayaresa biako ne sɛ wode wo ho bɛhyɛ apɔw-mu-teɛteɛ mu nkakrankakra sɛnea wo duruyɛfo bɛkyerɛ wo. Eyi betumi ama wo tumi a wode bɛyɛ apɔw-mu-teɛteɛ no atu mpɔn nkakrankakra.
• Pacemaker: Ɛsɛ sɛ nnipa binom de ɛlɛtrɔnik mfiri ketewaa bi a wɔfrɛ no pacemaker hyɛ wɔn honam ani a ɛbɛn koma no ase. Eyi boa ma koma no bɔ ntɛmntɛm bere a woayɛ basaa no.
• Biventricular pacemaker anaa Koma a Wɔde Yɛ Adwuma (CRT):Eyi nso yɛ afiri titiriw bi a ɛma obi koma bɔ kɛse. Ɛyɛ adwuma denam koma no ase adan (nkwaboaa) abien a ɛma ɛbɔ bom wɔ nnyigyei biako mu no so. Ebetumi ayɛ nea mfaso wɔ so ama nnipa a wɔwɔ komayare ahorow bi.

Wo duruyɛfo na obesi ayaresa a ɛfata wo ho gyinae. Eyi begyina nneɛma pii so, a wo tebea, yare no ho sɛnkyerɛnne, ne ayaresa tebea afoforo ka ho.

Dɛn na wubetumi ahwɛ kwan bere a wo ne tebea yi te ase no?

Mpanyimfo a wontumi nhu bere tenten no betumi anya ɔbrɛ ne ahome a ɛyɛ tiaa sen sɛnea wɔhwɛɛ kwan bere a wɔreyɛ da biara da dwumadi ahorow a ɛfata anaasɛ wɔreyɛ apɔw-mu-teɛteɛ no. Sɛ nhwɛso no, ebia wɔbɛte nka sɛ wɔabrɛ bere a wɔahoro nneɛma bi awie no, na afei ayɛ den ama wɔn sɛ wɔbɛkɔ abansoro no so.

Wɔ tebea horow a ɛntaa nsi mu no, sɛ koma no bɔ nnɔɔso sɛ ɛbɛma amemene no anya mogya a ɛdɔɔso a, obi atɔ piti .

Nhwehwɛmu ahorow ada no adi sɛ mpanyimfo a wɔayɛ kɛse mmoroso na wonni bere a wɔde yɛ adwuma no nyinaa wɔ asiane kɛse mu sɛ wobenya komayare anaa komayare. Nhwehwɛmu foforo kyerɛ sɛ nnipa a wɔwɔ saa tebea yi wɔ asiane kɛse mu sɛ wobenya atrial fibrillation (Afib) . Wɔada no adi nso sɛ sɛ obi nya bere mu ahoɔden a ontumi nyɛ adwuma de ka komayare ho a, ɛnyɛ papa mma nkwa nna nyinaa. Nhwehwɛmu ahorow bi nso ada no adi sɛ abusuabɔ bi da tebea yi ne nkwa nna a ɛso tew ntam.

Ɛnyɛ nea wɔayɛ sɛ eyi bɛbɔ wo hu, na mmom sɛ ɛbɛhyɛ wo nkuran ma woahu tebea yi na woatu anammɔn a ɛho hia.

So wobetumi asiw Chronotropic Incompetence ano?

Nneɛma a ɛde tebea yi ba no bi, te sɛ komayare a wɔde awo obi no, yentumi nyɛ ho hwee. Nanso, nneɛma bi wɔ hɔ a yebetumi ayɛ de atew asiane a ɛwɔ hɔ no so:

• Sɛ wowɔ koma anaa ahurututu mu yare biara a, ɛho hia sɛ wunya ayaresa a ɛfata .
• Ɛho hia yiye sɛ wobɛma wo nipadua mu duru akɔ so ayɛ nea ɛfata . Kɛse mmoroso na ɛde nyarewa pii ba.
• Sɛ wowɔ tebea horow te sɛ asikreyare ne mogya mmoroso a, ɛho hia sɛ wudi so yiye .

Saa nneɛma yi a wobɛhwɛ so no bɛboa wo ma woabɔ wo ho ban afi Chronotropic Incompetence nko ho, na mmom nyarewa afoforo pii nso ho.

Mɛyɛ dɛn ahwɛ me ho?

Sɛ wo ne Chronotropic Incompetence tra ase a, ɛkyerɛ sɛ wo nipadua de anohyeto ahorow bi to nea wubetumi ayɛ no so. Boasetɔ ho hia paa wɔ saa bere yi mu. Mma wo ho nnpopo, bɔ mmɔden sɛ wobɛsakra wo ho akɔ tebea yi mu nkakrankakra.

• Wo ne wo duruyɛfo nkasa mfa nkyerɛ sɛ ebia ɛsɛ sɛ wosakra nnuru a wonom no bi, anaasɛ wuhia afiri a ɛma wo koma bɔ wo koma .
• Sɛ oduruyɛfo no de afiri bi ahyɛ wo moma so (e.g., pacemaker) a, .Ɛsɛ sɛ wunya sɛnea ɛyɛ adwuma no ho ntease pa.
• Hwɛ hu sɛ wo ne wo duruyɛfo no bɛyɛ nhyehyɛe a ɛbɛma woadi akyi na ama woahwɛ ahu sɛ wo mfiri no reyɛ adwuma yiye.
• Sɛ wo duruyɛfo ama wo nhyehyɛe bi a wode bɛma w’apɔw-mu-teɛteɛ akɔ soro nkakrankakra a, di saa akwankyerɛ ahorow no akyi pɛpɛɛpɛ . Mma nnyɛ wo nyinaa.

Ɛyɛ ade a ɛfata sɛ wobɛte awerɛhow ne abasamtu nka bere a wuntumi nyɛ nneɛma a kan no na wutumi yɛ no. Ebetumi ayɛ abasamtu ankasa sɛ wobɛte ɔbrɛ nka bere a worema ntade kakraa bi so kɛkɛ mpo no. Nanso ɛnsɛ sɛ wo nkutoo wuhyia tebea yi. W’aduruyɛfo kuw no ayɛ krado bere nyinaa sɛ wɔbɛboa wo.

Nsɛm bɛn na ɛsɛ sɛ mibisa me duruyɛfo?

Sɛ wokɔ wo duruyɛfo nkyɛn a, wubetumi abisa nsɛm te sɛ eyinom:

• So wubetumi aka nea ɛde tebea yi ba (Chronotropic Incompetence) akyerɛ me ?
• Dɛn na metumi ayɛ na ama me tebea no atra ase yiye sɛnea metumi?
• Dɛn na metumi ahwɛ kwan afi pacemaker a wode ahyɛ me mu no mu? (Sɛ wɔde pacemaker ahyɛ nipadua mu a)
• So nhyehyɛe anaa akwan bi wɔ hɔ a ebetumi aboa me ma mayɛ apɔw-mu-teɛteɛ pii?

Nsɛmmisa yi akyi no, bisa wo duruyɛfo no biribiara a ɛwɔ w’adwenem anaa adwenem naayɛ biara a ebia wowɔ.

Awiei koraa no, kae!

(Chronotropic Incompetence) yɛ tebea a ɛhwehwɛ sɛ wɔhwɛ so kakra. Nanso, sɛ wonya aduruyɛ mu afotu a ɛfata, ayaresa, ne w’ahosohyira a , wubetumi abɔ bra pa wɔ tebea yi mpo mu. Nsuro. Tie nea wo duruyɛfo ka na yɛ w’ade sɛnea ɛfata. Yɛpɛ sɛ wo ho tɔ wo ntɛm!